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PHARMA INDUSTRY RISK FACTORS
PBM Consultant Risk Factors
- Some consulting firms are shells established by PBMs
- Advise Clients to unknowingly participate in PBM schemes
- Experts at steering a Client to a specific PBM
- Experts at including abstract terms in contract during negotiations
(Contract will then not hold up in court)
- PBM pays consultants based on contract size (Number of Lives)
- Bonuses paid for obtaining approval of Client on specific contract clauses i.e.. which drug pricing source to use, what is an acceptable discount off AWP, which formulary to use, etc
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